Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study

Introduction: Urinary incontinence (UI) during pregnancy is a common health problem. Vaginal delivery in particular affects the pelvic floor and increases the risk of pelvic floor dysfunctions. This prospective cohort study was conducted to investigate the incidence of UI during pregnancy and three...

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Autores principales:	Anna Rajavuori, Jussi P. Repo, Arja Häkkinen, Pirkko Palonen, Juhani Multanen, Pauliina Aukee
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Pregnancy Primiparity Urinary incontinence Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/7564d0a300514355b39ffc6a0d04b7e4
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spelling	oai:doaj.org-article:7564d0a300514355b39ffc6a0d04b7e42021-11-18T04:51:28ZMaternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study2590-161310.1016/j.eurox.2021.100138https://doaj.org/article/7564d0a300514355b39ffc6a0d04b7e42022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2590161321000181https://doaj.org/toc/2590-1613Introduction: Urinary incontinence (UI) during pregnancy is a common health problem. Vaginal delivery in particular affects the pelvic floor and increases the risk of pelvic floor dysfunctions. This prospective cohort study was conducted to investigate the incidence of UI during pregnancy and three months postpartum and determine the risk factors underlying UI. Methods: In total, 547 volunteer women were recruited from the maternity clinic of a tertiary hospital. The participants filled out a questionnaire twice, one in the second trimester and the other three months after delivery. A multivariate logistic regression model with forward stepwise selection was used to analyze known risk factors for UI. Results: The prevalence of UI during pregnancy was 39.5% and three months after childbirth 16.1%. Twenty-two percent of participants had pre-existing UI compared to 41.0% of the 88 women with UI three months postpartum. UI before pregnancy (OR 2.2), during pregnancy (OR 3.8) and primiparity (OR 2.3) were significantly associated with postpartum UI. Conclusions: Women with UI before or during pregnancy and who are primiparous are at increased risk for postpartum UI. To prevent and reduce the risk factors contributing to UI, pregnant women should be routinely counseled.Anna RajavuoriJussi P. RepoArja HäkkinenPirkko PalonenJuhani MultanenPauliina AukeeElsevierarticlePregnancyPrimiparityUrinary incontinenceGynecology and obstetricsRG1-991ENEuropean Journal of Obstetrics & Gynecology and Reproductive Biology: X, Vol 13, Iss , Pp 100138- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pregnancy Primiparity Urinary incontinence Gynecology and obstetrics RG1-991
spellingShingle	Pregnancy Primiparity Urinary incontinence Gynecology and obstetrics RG1-991 Anna Rajavuori Jussi P. Repo Arja Häkkinen Pirkko Palonen Juhani Multanen Pauliina Aukee Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study
description	Introduction: Urinary incontinence (UI) during pregnancy is a common health problem. Vaginal delivery in particular affects the pelvic floor and increases the risk of pelvic floor dysfunctions. This prospective cohort study was conducted to investigate the incidence of UI during pregnancy and three months postpartum and determine the risk factors underlying UI. Methods: In total, 547 volunteer women were recruited from the maternity clinic of a tertiary hospital. The participants filled out a questionnaire twice, one in the second trimester and the other three months after delivery. A multivariate logistic regression model with forward stepwise selection was used to analyze known risk factors for UI. Results: The prevalence of UI during pregnancy was 39.5% and three months after childbirth 16.1%. Twenty-two percent of participants had pre-existing UI compared to 41.0% of the 88 women with UI three months postpartum. UI before pregnancy (OR 2.2), during pregnancy (OR 3.8) and primiparity (OR 2.3) were significantly associated with postpartum UI. Conclusions: Women with UI before or during pregnancy and who are primiparous are at increased risk for postpartum UI. To prevent and reduce the risk factors contributing to UI, pregnant women should be routinely counseled.
format	article
author	Anna Rajavuori Jussi P. Repo Arja Häkkinen Pirkko Palonen Juhani Multanen Pauliina Aukee
author_facet	Anna Rajavuori Jussi P. Repo Arja Häkkinen Pirkko Palonen Juhani Multanen Pauliina Aukee
author_sort	Anna Rajavuori
title	Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study
title_short	Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study
title_full	Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study
title_fullStr	Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study
title_full_unstemmed	Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study
title_sort	maternal risk factors of urinary incontinence during pregnancy and postpartum: a prospective cohort study
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/7564d0a300514355b39ffc6a0d04b7e4
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Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study

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